- Insight Global (Tempe, AZ)
- Job Description As a Pharmacy Technician supporting the Medicare Part D Prior Authorization (PA) Operations team, you will play a vital role in ensuring ... MedResponse, MedAccess, FileNet, RightFax, and CoverMyMeds, supporting both in-person and remote workflows. Your contributions will directly impact Part D member… more
- Insight Global (Tempe, AZ)
- Job Description As a Pharmacy Technician in the Prior Authorization (PA) Operations team, you will be a critical link between prescribers, insurance ... MedResponse, MedAccess, FileNet, RightFax, and CoverMyMeds, supporting both in-person and remote workflows. Your contributions will directly impact patient access to… more
- Actalent (Tempe, AZ)
- …+ Conduct clinical review, analysis, recommendation, decision, and documentation of prior authorization requests, medical exception requests, and appeal requests ... guidelines. + Offer drug information support and research clinical literature to support prior authorization decisions. + Prepare agendas and materials for … more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- Actalent (Seattle, WA)
- … pharmacy knowledge and expertise. + Strong understanding of drug products and prior authorization processes. + Active pharmacy license in good standing. ... Are you ready to make a meaningful impact in the field of pharmacy ? We're seeking a dedicated and knowledgeable Remote Pharmacist to join our team. This role… more
- Actalent (Sacramento, CA)
- … pharmacy knowledge and expertise. + Strong understanding of drug products and prior authorization processes. + Active pharmacy license in good standing. ... Remote Pharmacist *Monday-Friday, 8am - 1pm start times,...This role involves conducting drug utilization reviews and managing prior authorizations in accordance with state and federal regulations.… more
- BrightSpring Health Services (Scottsdale, AZ)
- …as the key point of contact for benefit investigation, prior authorization , coordination with internal stakeholders ( pharmacy and nursing staff) and ... pharmacy benefits + Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements + Prepares and submits prior … more
- Actalent (Omaha, NE)
- …HAVE a Nebraska Pharmacy License + Pharm.D degree + Experience with prior authorization processes + Knowledge of insurance verification and medical billing + ... Now Hiring! Clinical Pharmacist - Fully remote ! Job Description MUST HAVE a Nebraska Pharmacy License. This position requires a dynamic pharmacist to be the… more
- Actalent (Albuquerque, NM)
- …limited to, clinical review, analysis, recommendation, decision and documentation of prior authorization requests, medical exception requests, and appeal ... information support * Research and provide clinical literature documentation to support prior authorization decisions as indicated * May include preparation of… more
- Dragonfly Health (Mesa, AZ)
- …equianalgesic dosing, generic and therapeutic substitution, formulary management and prior authorization procedures + Demonstrates understanding, competency and ... remote clinical consultation environment preferred + Familiarity with pharmacy benefit management (PBM) services preferred Specialized Knowledge, Skills &… more